HRT FOR MEN

Although testosterone normally decreases with age, the majority of men maintain an adequate level throughout their lifetime. A significant number (25 per cent of 40- to 62-year-old men, according to the Canadian Urological Association), however, have levels that are too low, resulting in testosterone deficiency syndrome (TDS), or andropause.

Fatigue, decreased sex drive and function, decreased muscle mass and an increase in fat, as well as mood changes, insomnia, weakness, and thinning of the bones, are all symptoms. Note that certain medical conditions (diabetes, hypothyroidism, chronic obstructive pulmonary disease, obesity) and medications (ketoconazole, estrogens, spironolactone, methadone), can also have an effect on testosterone levels.

The benefits of hormone therapy, or replacing testosterone in someone with low levels, can include increased strength, sexual desire and function, energy, emotional well-being, bone density, better glucose control in diabetics and decreased body fat. It may also help cardiovascular health. Of course, with any treatment, there may be side effects including acne, sleep apnea, swollen ankles and increased red blood cell counts.

Dr. Zachary Levine is an assistant professor in the faculty of medicine at McGill University Health Centre and medical correspondent for AM740 (a ZoomerMedia property).